Awake intubation of the adult trachea using the Bullard laryngo-scope

Cohn, Aaron I.; McGraw, Scott R.; King, W. H.

doi:10.1007/bf03010687

Cited by 31 publications

(9 citation statements)

References 6 publications

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“…Several of these devices have a high intubation success rate in this clinical scenario [22][23][24]. ................................................................................................................................................................................................................... Ó 2011 The Authors (d) New intubation equipment has been used successfully in awake intubation in patients with known difficult airways [29][30][31][32][33][34][35][36]. However, flexible optical scopes remain the gold standard in this patient population [42].…”

Section: Discussionmentioning

confidence: 99%

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Evidence for benefit vs novelty in new intubation equipment

Behringer

Kristensen

2011

Anaesthesia

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SummaryA myriad of new intubation equipment has been introduced commercially since the appearance of Macintosh ⁄ Miller blades in the 1940s. We review the role of devices that are relevant to current clinical practice based on their presence in the scientific literature. The comparative performance of new vs traditional direct laryngoscopes, their complications, their use in awake intubation techniques and the prediction of unsuccessful intubation with new devices are reviewed. Manikin studies are of limited value in this area. We conclude that in both predicted and unpredicted difficult or failed intubation, carefully selected new intubation equipment has a high success rate for tracheal intubation. Ideally, such devices should be available in all settings where tracheal intubation is performed. Most importantly, experience and competence with any of the new devices are critical for their successful use in any clinical setting.

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Section: Discussionmentioning

confidence: 99%

“…Many of the new intubation devices have been used successfully to perform awake intubation [29][30][31][32][33][34][35][36]. Combined use of a flexible optical scope and another new device has also been described [33].…”

Section: New Intubation Equipment and Awake Intubation Techniquesmentioning

confidence: 99%

Evidence for benefit vs novelty in new intubation equipment

Behringer

Kristensen

2011

Anaesthesia

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“…We did not administer sedation to the patients with the extensive submandibular abscess or haematoma, as it has been reported that in these cases upper airway obstruction may develop after minimal sedation 14 . Although other devices or techniques (Bullard laryngoscope, 15 Bonfils 16 or flexible fibrescope) have been reported in similar situations they were not available. However, when using the AL, the tracheal tube does not obstruct the endoscopic view of the vocal cords during intubation, unlike the Bullard laryngoscope 15 .…”

Section: Discussionmentioning

confidence: 99%

Awake tracheal intubation using the Airtraq^® laryngoscope: a case series

Dimitriou

Zogogiannis

Liotiri

2009

Acta Anaesthesiol Scand

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The Airtraq laryngoscope (AL) is a new single use indirect laryngoscope designed to facilitate tracheal intubation in anaesthetised patients either with normal or difficult airway anatomy. It is designed to provide a view of the glottis without alignment of the oral, pharyngeal and tracheal axes. We report four cases of successful awake tracheal intubation using the AL. The first case is a patient with severe ankylosing spondylitis and the other three cases with anticipated difficult airway. An awake intubation under sedation and topical airway anaesthesia was chosen. We consider that the AL can be used effectively to accomplish an awake intubation in patients with a suspected or known difficult airway and may be a useful alternative where other methods for awake intubation have failed or are not available.

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“…[37][38][39]67,68 Where the BL enables the clinician to "see around the corner," generally an excellent view of the glottis is obtained, even when direct laryngoscopy has failed. [37][38][39]67,68 Where the BL enables the clinician to "see around the corner," generally an excellent view of the glottis is obtained, even when direct laryngoscopy has failed.…”

Section: Clinical Experiencementioning

confidence: 99%